Li Family Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LI FAMILY MEDICAL PLLC

Practice address

8634 Bay Pkwy FL 1
Brooklyn, NY 11214-4102

Phone

(347) 562-3285

NPI assigned

Jul 29, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Simon Li, MDNPI 1265751002

Title

President

Phone

(347) 562-3285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simon Li, MD

  • Adult Medicine Physician
  • Brooklyn, NY
  • NPI 1265751002
  Medicare reassignment NPD Authorized official
• Ivan Li, NP

  • Nurse Practitioner
  • Commack, NY
  • NPI 1295587798
  Medicare reassignment NPD
• Dandan Guan, PAC

  • Medical Physician Assistant
  • New York, NY
  • NPI 1629465158
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1225867393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8634 BAY PKWY FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8634 BAY PKWY FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144102",
            "telephone_number": "347-562-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI FAMILY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-562-3285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LG RX Pharmacy Inc
• Carla Lherisson
• Tracey Lherisson, WHNP-BC
• Lhi Medical PC
• Lholmes LLC
• Li Hong Pediatrics PLLC
• Li Yang Limousine Inc
• Jian Yun Li-Wei
• Allan Rongguo Li, MD
• Ang Li

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.